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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:

第21卷

期数:

2013年06期

页码:

27-29

栏目:

临床研究

出版日期:

2013-06-03

文章信息/Info

Title:

Analysis of the Special Traditional Chinese Medicine for Treating Lumbar Disc Herniation According to Literature Published in the Past 10 Years

作者:

李具宝¹; 2 熊启良¹ 亓峰¹ 余喆¹ 屈尚可¹ 张磊¹ 王琦¹; 2△ 包可¹; 2 李帆冰¹; 2

¹云南中医学院第一附属医院骨科(昆明,650000) ²云南省中医骨关节病诊疗中心

Author(s):

LI Jubao¹; 2 XIONG Qiliang¹ QI Feng¹ YU Zhe¹ QU Shangke¹ ZHANG Lei¹ WANG Qi¹; 2 BAO Ke¹; 2 LI Fanbing¹; 2

¹Department of Orthopedics, the First Hospital Affiliated to Yunnan University of Traditional Chinese Medicine, 120 Guanghua Street, Kunming, Yunnan 650000, China ²Diagnosis and Treatment Center of Bone and Joint Disease, Yunnan Hospital of TCM

关键词:

中药内服;  腰椎间盘突出症;  文献;  特殊中药;  应用现状

Keywords:

Chinese herbs;  Lumbar Disc Herniation;  Literature;  special traditional Chinese medicine;  Application status

摘要:

目的:总结和分析近10年国内医学期刊公开发表的中药内服治疗腰椎间盘突出症文献中特殊中药的应用现状。方法:通过统一检索式,委托专业文献查新人员检索万方、维普、CNKI三大数据库,再通过统一的纳入标准、排除标准、资料提取与文献质量评价三个环节对检索结果进行分析。并对药物分类、特殊用药前20位的药物出现频次及出现百分率进行排序。结果:最终有效文献为654篇。中药内服治疗腰椎间盘突出症特殊用药前20位的药物排序依次为:桃仁、红花、乳香、没药、元胡、川乌、草乌、蕲蛇、土鳖虫、三七、细辛、附子、马钱子、骨碎补、血竭、蜈蚣、蚤休、乌梢蛇、龟甲、蛰虫; 药物功效分类依次为:活血止痛药,活血调经药,祛风寒湿药,活血疗伤药,化瘀止血药,发散风寒药,息风止痉药,补阴药,温里药,破血消癥药。结论:瘀血致痛在腰椎间盘突出症的病机中占有重要的地位,使用部分活血止痛、活血调经、活血疗伤、化瘀止血药物,在改善病机和消除这一病理产物方面具有其重要的临床意义; 在中药内服治疗腰椎间盘突出症中,在使用祛风散寒除湿药物的同时,适当加之虫类药,即能搜风邪、透关节,又能祛内外之风邪。

Abstract:

To summarize and analyze the application status of the special traditional Chinese medicine(TCM)in the treatment of Lumbar Disc Herniation(LDH)according to domestic medical journals published in the past 10 years. Methods:Professional literature searchers searched relevant articles through three domestic databases(including Weipu, Wanfang, and CNKI)according unified search formula, followed by analysis of three important sections including unified inclusion criteria and exclusion criteria, the data extraction process, and the quality assessment. Then the top 20 kinds of special TCM were sorted by their percentage of appearance. Results:According the final 654 effective articles, the top 20 TCM are as follows: Peach Seed, Safflower, Frankincense, Myrrh, Corydalis Tuber, Common Monkshood Mother Root, Kusnezoff Monkshood Root, Long-Noded Pit Viper, Ground Beetle, Sanchi, Manchurian Wildginger, Prepared Common Monkshood Daughter Root, Nux Vomica, Fortune's Drynaria Rhizome, Dragon's Blood, Centipede, Bistortae, Black-Tail Snake, Tortoise Shell, and Eupolyphaga Seu Steleophaga. The above 20 kinds of medicine can be classified into medicines for promoting blood circulation to arrest pain, medicines for promoting blood circulation to restore menstrual flow, medicines for removing pathogenic wind-cold, medicines for promoting blood circulation to heal wound, medicines to disperse blood stasis and stop bleeding, medicines to divergence cold, medicines to remove cold and stop spasm, medicines for invigorating yin, medicines for dispelling internal cold, and medicines for removing blood stasis. Conclusion:Haemostasis play important role in the pathogenesis of LDH. There is important clinical significance to improve pathogenesis and eliminate pathological product by using medicines for promoting blood circulation to arrest pain, medicines for promoting blood circulation to restore menstrual flow, medicines for promoting blood circulation to heal wound, and medicines to disperse blood stasis and stop bleeding. In the treatment of LDH, when using medicines for removing pathogenic wind-cold, it is better for using some insect drugs at the same time to achieve the purpose of searching pathogenic wind, curing the joint and removing the wind and the damp.

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更新日期/Last Update: 2013-06-03